タイトル(別表記) Treatment for a non-compliant patient with cancer and epilepsy
フルテキストURL 126_133.pdf
著者 南 大輔| 市原 英基| 岡部 伸幸| 横道 直佑| 高下 典子| 鍛治園 誠| 秋元 悠| 堀 圭介| 松原 稔| 那須 淳一郎| 谷本 光音| 木浦 勝行| 松岡 順治|
抄録  A 58-year-old man with cervical esophageal cancer and a history of epilepsy was treated with chemoradiotherapy from May of 2013. When tube feeding was initiated due to aspiration pneumonitis, the patient showed a degree of irritability that affected routine staff work and treatment compliance. We attempted to perform supportive care for maladjustment by the notice, the fast, and the tube feeding, but there was no improvement. After we added carbamazepine, primidone, and propericiazine (which had been canceled at the initiation of the tube feeding) to the patient's intravenous phenytoin, the symptoms and treatment compliance improved significantly. We concluded that the causes of the patient's irritability were maladjustment and his epilepsy.
キーワード てんかん(epilepsy) 易怒性(irritability) 適応障害(maladjustment)
備考 症例報告 (Case Reports)
出版物タイトル 岡山医学会雑誌
発行日 2014-08-01
126巻
2号
出版者 岡山医学会
出版者(別表記) Okayama Medical Association
開始ページ 133
終了ページ 135
ISSN 0030-1558
NCID AN00032489
資料タイプ 学術雑誌論文
言語 Japanese
著作権者 Copyright (c) 2014 岡山医学会
論文のバージョン publisher
査読 有り
DOI 10.4044/joma.126.133
NAID 130004685264
Sort Key 11
Eprints Journal Name joma
参考文献 1) てんかん―その精神症状と行動, てんかんの精神症状と行動研究編, 新興医学出版社, 東京(2004). 2) 保坂 隆 : 悪性腫瘍と軽症うつ病. 成人と生活習慣(2002)32, 1469-1472. 3) Blumer D : Antidepressant and double antidepressant treatment for the affective disorder of epilepsy. J Clin Psychiatry (1997) 58, 3-11. 4) 第15章てんかんの精神状況 : てんかん治療ガイドライン2010, てんかんガイドライン作成委員会編, 医学書院, 東京(2010)pp131-132. 5) 三原忠紘, 日本てんかん学会ガイドライン作成委員会 : てんかん外科の適応に関するガイドライン. てんかん研究(2008)26, 114-118. 6) 千葉 茂, 石本隆広, 稲葉央子, 田村義之, 石丸雄二, 高崎英気, 阪本一剛, 山口一豪 : てんかんに伴う精神症状とその治療. 臨床精神薬理(2007)10, 599-606. 7) 山脇成人 : がん患者の精神症状発現要因の解析及びその対応に関する研究. 医学のあゆみ(2001)197, 410-411. 8) 西村勝治 : うつと不安. 臨床精神医学(2004)33, 525-531. 9) 樋口輝彦, 小山 司 : 臨床精神薬理ハンドブック 第2版, 医学書院, 東京(2009). 10) がん緩和ケアガイドブック 2008年版, 日本医師会監修, 青海社, 東京(2008)p8. 11) Macrea MM, Horowitz M, Shishir O : Early palliative care in non-small-cell lung cancer. N Engl J Med (2010) 363, 2263.
JaLCDOI 10.18926/AMO/46630
フルテキストURL 65_3_185.pdf
著者 Watanabe, Kumi| Okada, Ayumi| Okabe, Nobuyuki| Onishi, Masaru| Morishima, Tsuneo|
抄録 The purpose of this study was to investigate the psychological needs of children and adolescents with eating disorders (ED) directed toward their mothers. Patients with ED have low self-assertion and various abnormal eating behaviors. Therefore, mothers face difficulty in understanding their children's psychological needs, and the mother-child relationship is sometimes strained. We developed a One-Message Question (OMQ)-structured interview. The OMQ was easy to answer, and it helped the patients with ED. We examined the relationship between psychological needs and illness phase of the children and adolescents, and we discuss the viability of implementing the OMQ in clinical settings. The subjects were 23 patients and their parents. Their parents were just asked about the patients' background. The mean age of the patients was 15.8 years, and the average age of ED onset was 13.5 years. The EDs were anorexia nervosa (n=20) and bulimia nervosa (n=3). The phases of patients' illness were identified as anorexic (n=5), bulimic (n=7), chronic (n=3), and stable (n=8). All subjects provided specific responses to the OMQ-structured interview. Data analyses revealed the following seven categories of patients' psychological needs directed toward their mothers:attachment, cooperation in meeting their goals, longing for love, changing attitude toward family members, respect for self-reliance, expression of apology, and expression of appreciation. These findings suggested that the OMQ-structured interview may prove useful for mothers to understand their children's psychological needs and may encourage positive interactions as a foundation for future recovery.
キーワード family support mother-child relationships eating disorders in children and adolescents interview methods team approach
Amo Type Original Article
発行日 2011-06
出版物タイトル Acta Medica Okayama
65巻
3号
出版者 Okayama University Medical School
開始ページ 185
終了ページ 192
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 CopyrightⒸ 2011 by Okayama University Medical School
論文のバージョン publisher
査読 有り
Submission Path amo/vol65/iss3/5
PubMed ID 21709716
Web of Sience KeyUT 000292017500005
著者 岡部 伸幸|
発行日 2008-12-01
出版物タイトル 岡山医学会雑誌
120巻
3号
資料タイプ 学術雑誌論文
著者 佐藤 俊樹| 山本 文子| 岡部 伸幸| 太田 順一郎| 大西 勝| 井戸 由美子| 黒田 重利|
発行日 2001-12-31
出版物タイトル 岡山医学会雑誌
113巻
3号
資料タイプ 学術雑誌論文